How do we define the restoration of function after THR? Current measures may not capture completely our patients' preoperative goals and postoperative activities. Their expectations vary, potentially extending beyond activities of daily living to include an ability to compete in sports. For their own safety, those patients who are athletically inclined deserve greater counseling, closer follow-up, and more careful scrutiny of surgical technique and implant choice. Ultimately, surgeons and patients together must find a balance between a return to activity and a return to too much activity.

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